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We are truely big
We are a so-called maximum care hospital. With 15 clinics and two institutes, we offer you a very wide range of options for your elective subject in the third part of the practical year. With many certified centres, we also offer an extraordinarily high level of competence in numerous specialist areas.We offer perspectives
We already have approximately 2,500 employees, and the trend is rising. We also have a very wide range of further training authorisations. In other words, if you get used to us, the north and the ocean during your year in Bremerhaven, like many practical year interns before you, many doors are open to you for further employment after your licence to practise and a corresponding specialist training with us.Work where others go on holiday!
Surfing, mudflat hiking, boßeln, equestrian sports, tea drinking - there's something for everyone here. A quick trip to the East Frisian Islands or Heligoland for the weekend? That's possible here. Going into town for a cocktail in the evening? That's fine, even with a view of the ocean.With us, you can also drop your anchor as a family later on
Where do we start? Clean air for the health of your family. Regulated working hours and many part-time models for your work-life balance. Enough day care places in the city. Affordable flats, houses and land. The ocean on your doorstep. In short: Here you can drop anchor quite easily, even after your apprenticeship and as a family.The most important at a glance
With a practical year at KBR, you place your training on a very solid foundation. As a maximum-care hospital with 15 clinics and two institutes, you can gain insights that are only possible in a hospital of our size. Specifically, you will learn a number of general skills that are essential for the medical profession:
- Basic activities such as anamnesis, examination, therapy planning and writing physician's letters
- Blood sampling, venous access, infusions, transfusions
- Interpretation of laboratory results and other diagnostics
- Participation in diagnostic and therapeutic interventions
- Participation in ward rounds, consultations and curve rounds
- Participation in case discussions, colloquia, evaluation of findings and demonstrations (including participation in autopsy demonstrations and clinical pathology conferences)
- Patients - presentation at rounds, conferences and seminars
- Acquisition of knowledge on hygiene measures, legal (duty to inform, duty to consult, rehabilitation measures) and ethical aspects of medical action (pain therapy, palliative therapy, assistance in the dying process).
- Aspects of the prescription and reimbursement of medicines and other services depending on cost centre and evidence-based criteria
- If you wish, you can participate in the emergency medical service of the Bremerhaven fire brigade
The practical year is divided into three training periods of 16 weeks each. One training period each must be completed in the subjects of internal medicine and surgery. A third training period takes place in an elective subject.
Prior to taking up your work in the practical year, you need an occupational health examination. In addition, it must be ensured that you have the required vaccination protection. If this has not yet been done, please contact our company physician (tel. -3721). In addition, the hospital offers you vaccination against influenza and Covid 19.
During your apprenticeship in the practical year, you will participate directly in patient care. You will be assigned to the wards, the outpatient departments, the delivery room or the operating theatre and will be assigned to a specific physician who will guide you and instruct you in your activities. In the major subjects, we aim to change the area of assignment at least once during an apprenticeship period in order to ensure the broadest possible insight into the respective subjects.
In the wards, this training is the responsibility of the ward physician, provided he or she has the necessary professional qualifications for this. The assessment of the suitability of a medical trainer is the responsibility of the subject representatives responsible for the apprenticeship section. No more than one student should be assigned to a medical instructor. Assignment to the operating theatre, delivery room or special examination and treatment areas shall be as determined by the apprenticeship supervisor responsible for the specialty or his/her designee. If there are any problems in this regard or if you have special rotation requests, please contact your PJ spokesperson or the practical year officer or their representative.
Once you have settled in at the hospital and have demonstrated certain skills and if it is organisationally possible and makes sense, you should also take part in weekend, night and holiday duties and work in the emergency room during this time. One student at a time will be assigned to the duty physician. The Working Hours Act must be observed. Overtime will be compensated with free time.
Direct participation in patient care should account for about 2/ 3 of the working time per day. 1/ 3 of the working time is to be set aside for case discussions and self-study. In particular, you will have the opportunity to participate in colloquia, interdisciplinary clinical conferences, demonstrations and special training events. We would like to invite you to actively participate and ask questions.
According to Section 3 (5) of the Medical Licensing Regulations (ÄAppO), regular and proper participation in the apprenticeship during the practical year must be certified. For your orientation, we have formulated exemplary training objectives for theory and practice. Please document your goals, achievements and experiences yourself in your logbook and have the explicitly required activities certified.
The practical year is divided into three apprenticeship periods of 16 weeks each. One apprenticeship period each must be completed in the subjects of internal medicine and surgery. A third apprenticeship period takes place in an elective subject.
- Carrying out ECG examinations of all kinds, including the preparation of findings
- Participation in examinations in functional diagnostics (endoscopy, sonography, endo-sonography, bronchoscopy, pulmonary function, 24-hour pH metry, echocardiography, cardiac catheter diagnostics, pacemaker diagnostics, etc.).
- Therapy planning of all kinds (medication, interventions, operations, etc.)
- Principles of intensive care and equipment therapy (dialysis procedures, respirator therapy, cardiopulmonary resuscitation, cardioversion, defibrillation, shock treatment, coma treatment, treatment of poisoning)
- Principles of nutrition and diet counselling
- Special features in the care of geriatric and chronically ill patients, geriatric and neuropsychological test procedures, swallowing disorder diagnostics
- Preventive medicine (health and nutrition counselling, vaccination)
- Rehabilitation.
The Centre for Internal Medicine is formally subdivided into 2 medical clinics and the internal medicine-led geriatrics department.
| Clinic | Chief physician | Telephone extension |
|---|---|---|
| Geriatrics | Dr. Ackermann | 3690 |
| Med I | Prof. Dr. Holtmann | 3222 |
| Med II | Dr. Müller | 3365 |
During your internal medicine tertial, you will be assigned to two of the three clinics for 8 weeks each. You will acquire the knowledge and skills of the third clinic by observing diagnostic and therapeutic procedures and/or in the intensive care unit and participating in the services.
Intensive medical care is provided in the interdisciplinary intensive care unit. You are welcome to rotate there on a weekly basis.
Very important: Please exchange information with other practical year interns about patients with special and rare deceases.
If you wish, you can observe diabetic training courses in the diabetes department of the MVZ at the hospital and in general medical teaching practices on a daily basis.
- Learning the indications, limits and risks of surgical interventions
- Preparation of the patient for the operation including information
- Implementation of measures accompanying surgery (ulcer prophylaxis, respiratory school and pneumonia prophylaxis, thrombosis, embolism and infection prophylaxis)
- Mastering asepsis and antisepsis measures
- Basics of basic surgical care, wound disinfection, classification of the different types of injuries and burns and their treatment.
- Learning the common suturing techniques
- Minor surgery of the skin and skin appendages under local anaesthesia
- Participation in surgeries
- Intraoperative placement and postoperative removal of Redon drains
- Post-operative care (knowledge of early post-operative complications, application, checking and changing of common types of bandages and casts, wound treatment including treatment and care of wound infections, post-operative infusion and nutrition therapy, initiation and support in the mobilisation phase, as well as introduction to the techniques of physical therapy and physiotherapy).
- Learning the basic features of intensive care therapy of essential surgical clinical pictures (e.g. poly-trauma, severe burns, peritonitis)
[Translate to English:]
Das chirurgische Tertial leistest Du zu je 8 Wochen in der Klinik für Viszeral-, Thorax und Gefäßchirurgie („Allgemeinchirurgie") und in der Klinik für Unfall- und Handchirurgie und Orthopädie ab.
| Clinic | Chief physician | Telephone extension |
|---|---|---|
| Chir I | PD Dr. Bruns | 3415 |
| Chir II | Dr. Reichstein | 3414 |
Once you have been informed about the basic rules of asepsis by the staff of the operating theatre, you can assist in the operating theatre. You can find your assignments in the current operating theatre schedule.
We also advise you to participate in on-call and weekend duties. Knowledge in ECG diagnosis and emergency measures is useful for this..
In the third tertial of your practical year at the KBR, you can choose one of the following elective subjects. (For detailed list of the respective topics, see further below.).
- Anaesthesiology
- Dermatology and venereology
- Gynaecology and obstetrics
- Neurology
- Neurosurgery
- Otorhinolaryngology
- Paediatrics
- Psychiatry and psychotherapy
- Radiology
- Radiotherapy
Anaesthesiology
- Pre-anaesthesiological examination (evaluation of previous illnesses and findings and assessment of perioperative risks, choice of anaesthetic procedure, patient information, premedication)
- Pharmacology of injection and inhalation anaesthetics including muscle relaxants and anaesthetic adjuvants
- Vascular access and monitoring
- Securing the airway, manual and mechanical ventilation
- Basics of general and regional anaesthesia
- Special anaesthesia for selected clinical pictures
- Special anaesthesia for selected operations
- Perioperative care (e.g. preoperative food and fluid restriction, perioperative infusion therapy, prophylaxis of nausea and vomiting, intraoperative heat conservation, postoperative pain therapy)
- Basics of intensive care medicine (analgosedation, enteral and parenteral nutrition, principles of intensive care treatment of respiratory and circulatory insufficiency, ventilation techniques and ventilation weaning, interpretation of arterial and central venous blood gas analyses, continuous renal replacement therapy, intensive care treatment of selected clinical pictures, intensive care transport)
The students go through the following stations and are expected to perform the following:
1. Surgical department (at least 8 weeks)
- Participation in the anaesthesiological preliminary examination (premedication)
- Preparation of patients for induction of general or regional anaesthesia
- Participation in the performance of general and regional anaesthesia
- Ventilation by means of face mask
- Use of a laryngeal mask, endotracheal intubation, ventilation
- Anaesthesia guidance and monitoring
- Interpretation of haemodynamic and respiratory monitoring parameters including blood gas analyses
- Perioperative pain, infusion and haemotherapy
- Postoperative monitoring in the recovery room
2. Intensive care unit (at least 4 weeks)
- Acquisition of the knowledge, experience and skills mentioned in the general part
- Admission and/or transport of patients
- Preparation of therapy plans
The Central Surgical Department (CSD), the interdisciplinary surgical intensive care unit 2C, the recovery room, the premedication rooms and the secretariat of the Institute of Anaesthesiology and Surgical Intensive Care Medicine are located on level 2.
Chief physician: PD Dr. Radke, DEAA MHBA, telephone extension: -3268.
Dermatology and venereology
- Learning the diagnosis and therapy of all common dermatological clinical pictures
- Learning dermatological anamnesis, description of findings and examination techniques, e.g. dermoscopy
- Insight into and participation in specialist diagnostic procedures (allergology, skin sonography, dermatohistology, immunofluorescence diagnostics, mycology, phlebology/lymphology, specialist serology, trichology, UV testing) and basic interpretation of examination results
- Participation in dermatological operations, including local anaesthesia, pre- and post-operative measures
- Learning the plots of special dermatological therapy procedures (topical therapy, wound management,
- Knowledge of dermatooncology
Chief physician: Dr. Sachse, telephone extensions: -3273, -2804.
Gynaecology and obstetrics
- Participation in vaginal, abdominal and laparoscopic operations
- Carrying out a gynaecological examination
- Participation in examinations in functional diagnostics (endoscopy, gynaecological sonography, urodynamic)
- Principles of gynaecological-oncological therapy
- Participation in births (vaginal births or incisional deliveries)
- Participation in prenatal diagnostic examinations (advanced foetal sonography, amniocentesis)
The wards of the gynaecology clinic are 4A and 4C. The operating theatre, delivery room and outpatient clinic are located on level 2.
Chief physicians: E. Roma Mas, telephone extension: -3726
J. Fehr, telephone extension: -3251
Neurology
- Special neurological examination
- Diagnostic and therapeutic lumbar puncture
- Indication of clinical electrophysiological diagnostics and neurosurgical ultrasound diagnostics
- Indication for neuro-radiological diagnostics
- Neurological coma diagnostics
- Basic features of specialist intensive care therapy (especially the STROKE-UNIT)
- Therapy planning of all types
- Indication for neurological rehabilitation treatment
- Acquisition of knowledge about important psychiatric and psychosomatic deceases and about indications of specific psychiatric and neuropsychological diagnostic and therapeutic procedures
The neurology wards are 11A (with STROKE-UNIT) and 11C, further patients are accommodated on satellite wards. The functional area and the secretariat are on ward 11B.
Chief physician: PD Dr. Dr. Boelmans, MHBA, telephone extension: -3419
Neurosurgery
- Acquiring knowledge of diagnostic procedures and therapy of common and rare neurosurgical clinical pictures of childhood and adulthood.
- Learning the basic principles of neurosurgical procedures, including use of the operating microscope in microsurgical procedures.
- Learning the risks and limitations of neurosurgical operative procedures
- Basic features of specialist neurosurgical and general intensive care therapy
- Familiarisation with dying patients, limitation of therapy, discussions with relatives, determination of brain death and organ donation procedure
- Interpretation of neuro-radiological findings
- Diagnostic and therapeutic lumbar puncture
The neurosurgery ward is 8C, operating theatres, intensive care unit, outpatient department and neurosurgery department of the MVZ am Klinikum are located on level 2.
Chief physician: Dr. Neuloh, telephone extension: -3417/ -3418
Otorhinolaryngology
- Learning and intensifying the subject-specific examination techniques
- Teaching the basics of the recognition, therapy, aftercare and rehabilitation of deceases of the nose and paranasal sinuses, auditory and vestibular organs as well as the upper respiratory and gastrointestinal tract
- Introduction to ENT functional diagnostics
- Principles of care for all ENT emergencies
- Allergological diagnostics and therapy for allergic deceases of the upper airways
- Teaching the basics of diagnostics and therapy of swallowing, voice, speech and language disorders as well as hearing tests in adults and children
Students are required to perform the following:
- Participation in ENT medical operations
- Presentation of the clinical picture with collection of a complete medical history to be documented in the medical record, diagnostic measures, diagnosis as well as therapy plans.
- Preparation of a complete ENT medical examination status
- Preparation and reporting of audiological examinations
- Care of patients with various deceases in the field, both as outpatients and inpatients
The operating theatre and ward are located on 8A, the outpatient clinic in area 1B.
Chief physician: PD Dr. Ebmeyer, telephone extension: -3387
Paediatrics
The paediatric department encompasses three areas: ambulant clinic and emergency room, children's ward, neonatology level 2. Die Pädiatrie verfügt über drei Einsatzgebiete/Abteilungen: Ambulanz und Notaufnahme, Kinderstation, Neonatologie Level 2. It is possible to experience all three areas. In addition, you may participate in the specialist ambulant clinics: diabetology, neuropaediatrics, gastroenterology, specialised sonography, early detection center.
Topics ambulant clinic and emergency room
- Learning how to take pediatric anamnesis, describe findings and examination techniques
- Therapy planning of all kinds (medications, interventions, operations, etc.)
- Paediatric clinical pictures in the outpatient setting
- Admission of paediatric patients
- Installation of indwelling venous cannulas and blood sampling
- ECG in childhood
- Sonography
Topics children's ward
- Medical rounds and therapy planning
- Sonographies
- ECG and long-term ECG
- Lung function
- Lumbar puncture
- Blood sampling and placement of peripheral indwelling cannulas
- Discharge preparation
Topics neonatology
- Primary care for premature and newborn babies
- Learning neonatal anamnesis, description of findings and examination techniques.
- Ventilation techniques (HighFlow, CPAP, etc.)
- Preventive examinations U2 and U3
- Vaccinations
- Neonatological clinical pictures
- Parenteral and enteral nutrition
- Sonography
- OAE, BERA
- and much more
Chief physician: Dr. Renneberg, telephone extension: -3867
Psychiatry and psychotherapy
- Psychiatric examination
- Diagnostics and differential diagnostics of mental disorders, including operationalised diagnostics according to ICD 10
- Psychiatric treatment planning for typical illnesses/disorders (dementia, addictive disorders, affective disorders, schizophrenia)
- Indication for psychotherapy
- Main features of the law on accommodation
- Emergency psychiatry
Students shall continue to perform the following:
- Admission examinations and their documentation
- Treatment planning for typical clinical pictures taking into account a biopsychosocial decease model
- Participation in team meetings, case conferences, admission meetings, Balint group if necessary.
Psychiatry includes the wards 1M, 2M, 1C and EC as well as the psychiatric day clinic and the institute outpatient clinic.
Chief physician: G. Wendling-Platz, telephone extension: -3400
Radiology
The student must complete the following work in the elective subject of radiology:
- Review of the indication, performance and reporting of radiographs of the thorax
- Review of the indication, performance and reporting of ultrasound examinations of the abdomen
- Assistance with at least 10 interventional radiological procedures
- Presentation of the clinical picture (anamnesis, clinic, radiological findings, pathology or comparable, epi-crises)
It is also required that you work diagnostically for two months and therapeutically for two months. Rotations in nuclear medicine and radiotherapy are suitable for this.
The institute is located on level 1.
Chief physician: Dr. Phung, telephone extension: -3230
Radiotherapy
- Basics of radiotherapy and radiation chemotherapy
- Basic medical and physical principles of radiation planning
- Creation of a reproducible treatment position, verification
- Mechanisms of tumour control and resistance development under radiotherapy
- Spatial and temporal dose distribution, fractionation concepts
- Typical risk structures with tolerance doses
- Typical acute and late reactions after radiotherapy and their treatment
During the apprenticeship period, students are required to care for five patients independently under the supervision of the supervising physician.
This includes:
- The above-mentioned contents, in particular
- Preparation of a therapy plan
- Planning of radiation (conventional or CT planning), definition of target volume and organs at risk
- Case and plan presentations in the oncology conference
- Simulation of the irradiation plan
- Initial setting and verification on the linear accelerator
- Supportive measures during radiotherapy
Radiotherapy includes ward 8B and the functional wing on level E or in the annex.
Chief physician: PD Dr. Galalae, telephone extension: -3210
The following information systems are available to you for general information:
Intranet
In addition to access via Internet Explorer, there are data collections of the respective clinic. Please ask colleagues in the respective departments to show you these.
Here, you will also find a button to anonymously create CIRS reports.
Internet
You will receive a personal account, including an e-mail address, which you can use without restriction, provided you observe the security instructions. Your context (department reference) will be changed at the start of each tertial.
Library
Located in the Human Resources building - ground floor (opening hours Mon, Wed and Fri 9:00 - 12:00 and Tues and Thurs 13:00 - 16:00).
Please contact Ms Telle to register you at the start of your practical year and instruct you in the use of the library. (Telephone extension: -3280).
External training
On the one hand, these are announced in the respective departments, but can also be viewed in the online continuing education calendar of the Bremen Medical Association.
The specific further training courses are arranged according to the respective clinics. We offer the following cross-departmental training courses:
Practical year - Advanced training of the operative subjects
- Monday, 4pm - 5pm
- Location: Large Conference Hall/ Level 3
Practical year - Advanced training of the conservative subjects including error conference and pharmacological conference
- Thursday, 4.30 - 5.30 pm
- Location: Large Conference Hall/ Level 3
Oncology cases conference
- Thursday, 4.00 - 4.30 p.m.
- Location: Demonstration room of the X-ray department/ Level 1
Clinical-pathological conference
- Wednesday, 16.30 - 17.30, dates by arrangement
- Location: Institute of Pathology (adjoining building)
- Further teaching is offered as required (hygiene, ECG reporting, suture course, bedside teaching of dermatology, radiological image review ...).
- In addition, you can take advantage of in-house training opportunities (resuscitation, communication, dealing with death and dying ...).
